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1073293692
ILHOM BAKIYEV
BROOKLYN, NY
NPI
1073293692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 030168)
Enumeration Date
2023-07-19
Last Update Date
2023-07-19
Business Address
Mr. ILHOM BAKIYEV PA
2601 OCEAN PKWY
BROOKLYN, NY 11235-7745
Phone number: 718-616-4797
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Mailing Address
Mr. ILHOM BAKIYEV PA
410 AVENUE X APT 6A
BROOKLYN, NY 11223-6032
Phone number: 347-257-7186
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